Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Farmington Presbyterian Manor during CMS and state inspections, most recent first.
NA Registry checks were not completed before hire for 4 of 10 sampled employees. The facility policy required pre-employment screening, including registry checks for CNAs, but did not address NA Registry checks for all employees. The HR Director said NA Registry checks should be completed on all employees prior to their start date, but she typically completed them after an offer was made and, for CNAs and CMTs, before interviews.
MDS assessments for multiple residents incorrectly coded aspirin as an anticoagulant instead of an antiplatelet. Residents with diagnoses including MS, dementia, cerebral palsy, CKD, heart disease, stroke, and atherosclerotic disease had POS orders for aspirin 81 mg daily, while several MDSs either marked anticoagulant use or failed to mark antiplatelet use. The MDS Coordinator stated she had been coding aspirin as an anticoagulant and was confused after antiplatelet was added to the MDS.
Staff failed to follow infection control practices during peri care, blood glucose checks, and catheter care. CNAs entered rooms without hand hygiene, changed gloves without cleaning hands, and used soiled gloves or bare hands while moving between dirty and clean tasks, handling resident items, bedding, and clothing. An LPN also handled glucometers, strips, lancets, and the computer cart with gloved and bare hands in ways that did not follow hand hygiene and glove-use expectations. During catheter care, CNAs did not wear gowns for EBP and continued care with the same soiled gloves.
The facility failed to address resident grievances regarding dietary services, as documented in Resident Council Minutes. Residents reported issues with food temperature, quality, and meal timing, along with insufficient dining room staffing. Despite acknowledging these complaints, the facility did not document responses or assign follow-up responsibilities, indicating a lack of action in resolving these issues.
The facility failed to follow physician's orders for weighing three residents, resulting in missed weight recordings. A resident with heart failure had five missed daily weights, another with multiple conditions had 47 missed daily weights due to a broken scale, and a third with diabetes and edema had three missed weekly weights. Staff interviews revealed issues with scale functionality and documentation processes.
A facility failed to follow physician's orders for oxygen therapy and timely change of oxygen equipment for a resident with heart failure and COPD. The resident received incorrect oxygen flow rates and used outdated tubing and humidifiers, contrary to the facility's policy. Staff interviews confirmed non-compliance with equipment change protocols.
The facility was found deficient for allowing items to be stored on over bed light fixtures in ten resident rooms, posing a potential hazard. Observations included stuffed animals, baseball caps, and paintings placed on light fixtures, with no policy in place to prevent this practice. Facility leadership acknowledged the risk during an interview.
Failure to Complete NA Registry Checks Before Employment
Penalty
Summary
The facility failed to ensure the Nurse Aide (NA) Registry check was completed before the employment start date for four of 10 sampled employees. The facility census was 68. Review of the facility policy titled, "Abuse Prevention, Intervention, Reporting and Investigation-Staff Treatment of Residents," revised 08/07/25, showed that potential employees were to be screened for a history of abuse, neglect, or mistreating residents through employer references, licensing boards, registries, the Missouri employee disqualification list, and the national sex offender registry. The policy also stated that prior to a new employee starting work, the human resource director or designee would obtain reference checks, a criminal background check, and a query from the Nurse Aid Registry for CNAs in each state where the CNA had previously worked, but it did not address completing the NA Registry check on all employees.
MDS assessments incorrectly coded aspirin as an anticoagulant
Penalty
Summary
The facility failed to document complete and accurate MDS assessments for seven residents, including four residents in the sample and three residents outside the sample. The deficiency centered on Section N0415, where aspirin was repeatedly coded as an anticoagulant instead of an antiplatelet. The facility policy required MDS data to accurately reflect the resident’s status and be coded according to RAI Manual guidelines, and the RAI Manual stated that aspirin is an antiplatelet and should not be coded as an anticoagulant. Resident #1 had diagnoses of MS, dementia, and anxiety disorder, and the POS showed aspirin 81 mg daily for preventative use with no anticoagulant order. However, the significant change MDS coded N0415E1 as yes for anticoagulant and N0415I1 as no for antiplatelet. Resident #2 had diagnoses of cerebral palsy, CKD, and PVD, and the POS showed aspirin 81 mg daily with no anticoagulant order, yet multiple MDS assessments coded aspirin as an anticoagulant and did not code it as an antiplatelet. Resident #3 had diagnoses of heart disease, aortic and mitral valve insufficiency, and CKD; the POS showed aspirin daily and a prior Eliquis order that had been discontinued, but quarterly and significant change MDS assessments still coded anticoagulant use and did not code aspirin as an antiplatelet. Resident #6 had diagnoses of HTN, hyperlipidemia, cardiac murmur, and chronic ischemic heart disease, with an aspirin order for preventative use, but the significant change MDS coded anticoagulant use and did not code antiplatelet use. Resident #30 had diagnoses of stroke, aphasia, and heart disease; the POS showed aspirin daily and a prior heparin order that had been discontinued, but the MDS assessments continued to code anticoagulant use. Resident #38 had diagnoses of CKD, atherosclerotic heart disease, atherosclerosis of the aorta, and an artificial heart valve, and Resident #48 had diagnoses of atherosclerosis of the aorta, muscle weakness, and carotid artery stenosis; both had aspirin orders and their MDS assessments coded anticoagulant use instead of antiplatelet use. During interview, the MDS Coordinator stated she had been coding aspirin as an anticoagulant and believed she had become confused when antiplatelet was added to the MDS assessment.
Infection Control Lapses During Resident Care
Penalty
Summary
The facility failed to maintain infection control practices during multiple resident care activities, including peri care, blood sugar monitoring, and urinary catheter care. The report states staff did not perform proper hand hygiene, did not use gloves appropriately, and did not wear the required PPE for enhanced barrier precautions during catheter care for one resident with a urinary catheter. The facility policy required hand hygiene before and after resident contact, after glove removal, and when moving from contaminated to clean body sites, and required gown and glove use for enhanced barrier precautions during high-contact care for residents with indwelling medical devices. During observation of peri care for one resident, two CNAs entered the room without performing hand hygiene, repeatedly changed gloves without washing or sanitizing hands, and continued care with the same soiled gloves while moving between dirty and clean tasks. They cleaned the resident’s peri area, handled the soiled brief, placed a clean brief on the bed, and then used the same soiled gloves to place stuffed animals on the bed next to the resident. In interview, the CNAs stated they should wash their hands before peri care, between glove changes, and before touching resident items. During observation of peri care for another resident, two CNAs again did not perform hand hygiene before care, changed gloves without hand hygiene, and handled clean clothing and bedding with bare hands or soiled gloves. One CNA removed the resident’s brief and shorts, placed items on the floor beside the trash can, obtained clean clothing from the closet without hand hygiene, and then, with bare hands, helped place the brief and pants on the resident. The same observation showed a CNA took a trash bag out of the room with bare hands and later handled a pillow and the resident’s bedding after glove removal and without hand hygiene. During blood sugar monitoring for five residents, an LPN performed hand hygiene at times but also touched the computer keyboard, pen, and paper while gloved, handled glucometers and supplies from the cart without a barrier, removed a used strip from a glucometer with a bare hand, and handled a used lancet with a bare hand before placing it in the sharps container. During urinary catheter care for one resident, two CNAs entered the room without gowns, and one CNA performed catheter care while the other assisted with removing the brief and replacing it, with the same soiled gloves used across tasks. The DON stated staff should wear gowns and gloves for catheter care and use PPE for enhanced barrier precautions for indwelling devices.
Facility Fails to Address Resident Dietary Grievances
Penalty
Summary
The facility failed to adequately respond to grievances and dietary recommendations made by residents, as documented in the Resident Council Minutes over several months. The minutes from meetings held in November, December, and January highlighted ongoing issues with the dietary services, including complaints about the temperature and quality of food, the timing of meal services, and insufficient staffing in the dining room. Despite these repeated concerns, the facility did not document any responses or assign responsible staff members to follow up on these issues, indicating a lack of action in addressing the residents' grievances. Interviews with several residents corroborated the issues noted in the Resident Council Minutes. Residents reported that food was often served cold, meals were consistently late, and there were problems with the quality of specific food items, such as undercooked potatoes and poorly cooked chicken. Additionally, residents expressed frustration with the lack of staff in the dining room to assist with meal services and refills, which further contributed to their dissatisfaction with the dining experience. The facility's administration, including the Administrator, Director of Nursing, and Dietary Manager, acknowledged the complaints but attributed some of the issues to the location of residents' rooms at the end of the halls. However, there was an expectation that food should be served at appropriate temperatures according to regulatory guidelines. Despite this acknowledgment, the facility's failure to document responses or assign follow-up responsibilities suggests a systemic issue in addressing and resolving resident grievances effectively.
Failure to Follow Physician's Orders for Resident Weights
Penalty
Summary
The facility failed to follow physician's orders for three residents, resulting in missed weight recordings. Resident #7, diagnosed with heart failure, chronic respiratory failure with hypoxia, and COPD, had an order for daily weights starting December 6, 2024. However, weights were not recorded on five occasions between December 2024 and January 2025. Similarly, Resident #9, with diagnoses including Type 2 diabetes, hypertensive heart and chronic kidney disease, emphysema, and heart failure, had an order for daily weights due to congestive heart failure. Weights were not documented on 47 out of 62 opportunities, with notes indicating a broken scale as the reason starting December 11, 2024. Resident #36, diagnosed with Type 2 diabetes, hypertensive chronic kidney disease, and edema, had an order for weekly weights every Friday beginning December 13, 2024. However, weights were not recorded on three out of six opportunities. Interviews with staff revealed that there were issues with the scales used for weighing residents. The Infection Preventionist noted that the scale was working when they used it, but there were notes indicating it was not functioning at other times. The Assistant Director of Nursing confirmed that only one of the four available lifts was accurately calibrated for weighing. The facility's staff, including the Administrator, Director of Nursing, Assistant Director of Nursing, and Infection Preventionist, acknowledged the expectation for staff to follow physician's orders and weigh residents as required. However, there was confusion among staff regarding the functionality of the scales and the documentation process. The Administrator noted that aides typically document weights under tasks like vital signs, and nurses document them on the Treatment Administration Record. Staff were reportedly still learning the new system, which contributed to the documentation issues.
Failure to Follow Oxygen Therapy Orders and Equipment Change Protocols
Penalty
Summary
The facility failed to adhere to physician's orders for supplemental oxygen therapy and the timely change of oxygen tubing and humidifiers for a resident. The resident, who had diagnoses of heart failure, chronic respiratory failure with hypoxia, and COPD, was observed receiving oxygen at incorrect flow rates and with outdated tubing and humidifiers. Specifically, the resident was seen using oxygen at four liters per nasal cannula, contrary to the prescribed two liters, and with tubing and humidifiers that were not changed weekly as required by the facility's policy. Interviews with staff revealed a lack of compliance with the facility's protocol for changing oxygen equipment. The resident was unable to confirm when the tubing was last changed, and a registered nurse acknowledged that the tubing should be changed every Sunday night shift and dated accordingly. The facility's administration and nursing leadership agreed that the resident's oxygen orders were not followed, and the equipment was not changed as scheduled, leading to the deficiency identified by the surveyors.
Unsafe Storage on Over Bed Light Fixtures
Penalty
Summary
The facility failed to maintain a safe and functional environment for residents by allowing items to be stored on top of over bed light fixtures in ten resident rooms. This practice was observed during a survey, where various personal items such as stuffed animals, baseball caps, bird figurines, glasses, paintings, framed photos, and other knick-knacks were placed on the light fixtures above residents' beds. These observations were made over two days, indicating a consistent issue across multiple rooms. The storage of items on light fixtures poses a hazard, as these items could potentially fall on residents, creating a safety risk. The facility did not have a policy in place regarding the safety of over bed lighting, which contributed to this deficiency. During an interview, the facility's Administrator, Director of Nursing, Assistant Director of Nursing, and Infection Preventionist acknowledged that items should not be placed on light fixtures due to the potential hazard they present.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 97 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Farmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southbrook Nursing Center | 0.7 mi | ★★★★★ | 4 | 0 |
| Camelot Nursing And Rehabilitation Center | 0.8 mi | ★★★★★ | 7 | 0 |
| Community Manor | 1 mi | ★★★★★ | 2 | 0 |
| St Francois Manor | 1.9 mi | ★★★★★ | 4 | 0 |
| Country Meadows | 7 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Farmington Presbyterian Manor.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.